ÿþ<html> <head> <title>GCNM Adoption Application</title> <meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1"> </head> <body bgcolor="#FFFFFF" text="#000000" leftmargin="0" topmargin="0" marginwidth="0" marginheight="0"> <table width="600" border="0" cellspacing="0" cellpadding="7"> <tr> <td align="left" valign="top"> <table border="0" cellspacing="0" cellpadding="7" align="right"> <tr> <td><img src="images/smlogo.gif" width="165" height="75" alt="GCNM logo"></td> </tr> </table> <p align="left"><a href="adopt.html"><font face="Arial, Helvetica, sans-serif">Back to Adoption homepage</font></a></p> <p align="left"><b><font face="Arial, Helvetica, sans-serif" size="+2" color="#006633">On-line Adoption Information <br> and Application</font></b></p> <p align="left"><font face="Times New Roman, Times, serif" size="3"><b>Dear Prospective Adopter:</b></font><font face="Times New Roman, Times, serif" size="2"><br> Thank you for considering adopting a racing greyhound as a pet. We hope that you will join the growing number of people who report that their adopted greyhound is one of the nicest and most loving pets they have ever had.<br> </font><font face="Times New Roman, Times, serif" size="2"><br> The following information should be helpful to you as you consider adopting a greyhound. After reading this, if you have any questions, please call 1-505-899-3245 or e-mail us at <a href="mailto:info@gcnm.org">info@gcnm.org</a>.<br> <br> Greyhounds placed through GCNM are usually between two and five years old. They stand between 26 and 29 inches tall at the shoulder and weigh between 50 and 80 pounds, females generally being smaller than males. Greyhounds come in a variety of colors including black, red, blue, fawn, various shades of brindle and all of those colors broken with white.</font></p> <p align="left"><font face="Times New Roman, Times, serif" size="2"> The greyhound’s devotion to his owner is legendary. Greyhounds are grateful for their new homes and reward their adopters with never-ending affection. During their careers as racers, they are kept in an environment where they get minimal individual attention and because of this, they thrive on being the center of attention in their adoptive homes.</font></p> <p align="left"><font face="Times New Roman, Times, serif" size="2">Greyhound adoption is a serious responsibility and our policy is to ensure that anyone who adopts a greyhound will be capable of and willing to accept that responsibility. You will need to complete an adoption application and agree to a home visit by one of our adoption representatives.</font></p> <p align="left"><font face="Times New Roman, Times, serif" size="2">We feel your success as a greyhound adopter is significantly increased if you prepare yourself with as much information as possible. These dogs are unique in many ways and one should not assume that because they have had other breeds, the retired racer will be similar. </font></p> <p align="left"><font face="Times New Roman, Times, serif" size="3" color="#663399"><b>The following are additional requirements:</b></font></p> <ul> <li> <font face="Times New Roman, Times, serif" size="2">The greyhound is to be kept as a personal or family pet and provided humane treatment and proper care and be a housedog.</font></li> <li><font face="Times New Roman, Times, serif" size="2">The greyhound must be vaccinated against rabies and all canine diseases recognized as threats in the area where you live.</font></li> <li><font face="Times New Roman, Times, serif" size="2">The greyhound must be licensed as required by the county or city.</font></li> <li><font face="Times New Roman, Times, serif" size="2">The greyhound must wear identification at all times. GCNM provides an ID tag to be worn along with your ID tag so that should the dog become lost, there is a back-up number to call.</font></li> <li><font face="Times New Roman, Times, serif" size="2">The adopter agrees to notify GCNM should the dog become lost so that we can assist you in relocating your greyhound as quickly as possible.</font></li> <li><font face="Times New Roman, Times, serif" size="2">The greyhound must be kept on a leash whenever not in an enclosed area. (Barbed wire or other three or four-wire fencing typically used on rangelands is not considered an enclosed area.)</font></li> <li><font face="Times New Roman, Times, serif" size="2">The greyhound must be returned to GCNM should the adopter be, for any reason, unable or unwilling to keep it as a pet.</font></li> </ul> <p><font face="Times New Roman, Times, serif" size="2"><br> <font color="#663399" size="3"><b>ADOPTION DONATION</b></font> <br> GCNM asks adopters to make a donation of $175.00 at the time they obtain their pet. This assists us in paying our veterinary bills for the sterilization, microchipping, dental care, heartworm test, and vaccinations for each dog and various other veterinary expenses we incur in rehabilitating some of the dogs with injuries or illness. GCNM is a certified, non-profit organization comprised exclusively of unpaid volunteers and depends entirely upon contributions to continue providing veterinary and foster care and placement services for greyhounds that would otherwise be destroyed. GCNM is a nationally recognized greyhound placement program that is eligible for funding through the greyhound racing industry, however because we feel this is a conflict of interest, we have chosen not to accept any such funding. GCNM has grave concerns for the future health of retired racing greyhounds and is involved in research to determine causes of disease and illness in retired racers. We also publish a quarterly newsletter to keep our adopters and area veterinarians informed.</font></p> <p><font face="Times New Roman, Times, serif" size="2"><b><font size="3" color="#663399"> YOUR REWARD!</font></b><br> After the initial period of adjustment, you will find that your adopted greyhound has become a loving, faithful companion and an enthusiastic, comical member of the family. </font><font face="Times New Roman, Times, serif" size="2">You will then have joined the growing number of people who have learned that greyhounds can become the most wonderful of animal companions! </font></p> <form name="form1" form action="/cgi-bin/formmail.pl" method=post> <p> <input type=hidden name=subject value="FormMail Submission"> <input type=hidden name=redirect value="http://gcnm.org/thanks.html"> <input type=hidden name=recipient value="info@gcnm.org"> <input type="hidden" name="Adoption Application" value=" "> </p> <p align="left"><font size="3" face="Arial, Helvetica, sans-serif"><b><font size="+2" color="#006633">Adoption Application</font></b><font color="#006633"><b></b></font></font></p> <p>The ownership of a greyhound, like any pet, is a serious responsibility that requires a long-term commitment. It is the goal of GREYHOUND COMPANIONS OF NEW MEXICO (GCNM) to be sure that this responsibility, as well as the financial, psychological, and physical needs of each greyhound, are met in its new home. This application has been designed to help prospective greyhound adopters address the issues that would directly affect their home and its suitability for a greyhound, as well as aid our staff in application evaluation.</p> <p><b><font face="Arial, Helvetica, sans-serif" color="#CC3300">Please print out and read all articles in <a href="behavior.html" target="behavior.html">Greyhound Behavior &amp; Health</a> prior to completing the application to adopt. This is a requirement for adopting a greyhound through GCNM. For your convenience, all the articles as well as the adoption application can also be downloaded as a single pdf-file by <a href="adoptioninfoandapplication.pdf" target="_blank">clicking here</a>.</font></b></p> <p>Due to the length of this application, your computer may disconnect you before you complete the questions. If you experience this, please print out application, complete, and mail to:<br> GCNM, PO Box 22053, Albuquerque, NM 87154-2053</p> <p><b><font size="+1" color="#CC3300">PLEASE ANSWER ALL QUESTIONS.</font></b></p> <table width="570" border="0" cellspacing="0" cellpadding="2"> <tr> <td width="138"> <div align="right"><font size="2">Your Name:</font></div> </td> <td width="142"> <font size="2"> <input type="text" name="1. applicant's name" size="20" maxlength="40"> </font></td> <td width="125"> <div align="right"><font size="2">CO-Applicant's Name</font></div> </td> <td width="149"> <font size="2"> <input type="text" name="Co-applicant's name" size="20" maxlength="40"> </font></td> </tr> <tr> <td width="138"> <div align="right"><font size="2">Occupation:</font></div> </td> <td width="142"> <font size="2"> <input type="text" name="2. applicant's occupation" size="20" maxlength="40"> </font></td> <td width="125"> <div align="right"><font size="2">Occupation:</font></div> </td> <td width="149"> <font size="2"> <input type="text" name="co-applicant's occupation" size="20" maxlength="40"> </font></td> </tr> <tr> <td width="138"> <div align="right"><font size="2">Work Phone:</font></div> </td> <td width="142"> <font size="2"> <input type="text" name="3. applicant's work phone" size="20" maxlength="40"> </font></td> <td width="125"> <div align="right"><font size="2">Work Phone:</font></div> </td> <td width="149"> <font size="2"> <input type="text" name="Co-applicant's work phone" size="20" maxlength="40"> </font></td> </tr> <tr> <td width="138"> <div align="right"><font size="2">Cell Phone:</font></div> </td> <td width="142"> <font size="2"> <input type="text" name="3. applicant's cell phone" size="20" maxlength="40"> </font></td> <td width="125"> <div align="right"><font size="2">Cell Phone:</font></div> </td> <td width="149"> <font size="2"> <input type="text" name="Co-applicant's cell phone" size="20" maxlength="40"> </font></td> </tr> <tr> <td width="138"> <div align="right"><font size="2">E-Mail Address:</font></div> </td> <td><font size="2"> <input type="text" name="4. applicant's E-Mail address" size="20" maxlength="40"> </font></td> <td> <div align="right"><font size="2">E-Mail Address:</font></div> </td> <td><font size="2"> <input type="text" name="Co-applicant's E-Mail Address2" size="20" maxlength="40"> </font></td> </tr> <tr> <td width="138"> <div align="right"><font size="2">Home Address - Physical Location:</font></div> </td> <td colspan="3"> <div align="left"> <font size="2"> <input type="text" name="5. Applicant's street addres" size="60" maxlength="60"> </font></div> </td> </tr> <tr> <td width="138" height="24"> <div align="right"><font size="2">City:</font></div> </td> <td width="142" height="24"> <font size="2"> <input type="text" name="6. applicant's city" size="20" maxlength="40"> </font></td> <td colspan="2" height="24"> <div align="left"><font size="2">&nbsp;&nbsp;&nbsp;State: <input type="text" name="7. applicant's state" size="5" maxlength="5"> &nbsp;&nbsp;Zip: <input type="text" name="8. Applicant's zip" size="20" maxlength="40"> </font></div> </td> </tr> <tr> <td width="138"> <div align="right"><font size="2">Mailing Address, if Different from Physical Location:</font></div> </td> <td colspan="3"> <div align="left"> <font size="2"> <input type="text" name="5. Applicant's street addres" size="60" maxlength="60"> </font></div> </td> </tr> <tr> <td width="138" height="24"> <div align="right"><font size="2">City:</font></div> </td> <td width="142" height="24"> <font size="2"> <input type="text" name="6. applicant's city" size="20" maxlength="40"> </font></td> <td colspan="2" height="24"> <div align="left"><font size="2">&nbsp;&nbsp;&nbsp;State: <input type="text" name="7. applicant's state" size="5" maxlength="5"> &nbsp;&nbsp;Zip: <input type="text" name="8. Applicant's zip" size="20" maxlength="40"> </font></div> </td> </tr> <tr> <td width="138" height="25"> <div align="right"><font size="2">Home Phone:</font></div> </td> <td colspan="3" height="25"> <font size="2"> <input type="text" name="9. applicant's home phone" size="20" maxlength="40"> </font></td> </tr> <tr> <td width="138" height="31"> <div align="right"><font size="2">Number of Children at Home:</font></div> </td> <td width="142" height="31"> <font size="2"> <input type="text" name="10. number of children" size="20" maxlength="40"> </font></td> <td width="125" height="31"> <div align="right"><font size="2">Children's ages:</font></div> </td> <td width="149" height="31"> <font size="2"> <input type="text" name="11. children's ages" size="20" maxlength="40"> </font></td> </tr> <tr> <td width="138"> <div align="right"><font size="2">Number and Kinds of Pets at Home</font></div> </td> <td width="142"> <font size="2"> <input type="text" name="12. Number and kinds of pets at home" size="20" maxlength="60"> </font></td> <td width="125"> <div align="right"><font size="2"><font size="1"><font size="1"><font size="2"><font size="2"></font></font></font></font></font> </div> </td> <td width="149"><font size="2"></font></td> </tr> </table> <table width="571" border="0" cellspacing="0" cellpadding="0" height="98"> <tr> <td width="152" height="90"> <p><font size="2"> Brief description of current dogs personality and ages(s):</font></p> </td> <td width="419" height="90"> <p> <textarea name="13. Brief description of current dogs, personality and ages" cols="60" rows="4"></textarea> </p> </td> </tr> <tr> <td width="152" height="85"><font size="2">Why do you want to adopt a greyhound?</font></td> <td width="419" height="85"> <textarea name="14. Why do you want to adopt" cols="60" rows="4"></textarea> </td> </tr> <tr> <td width="152" height="94"><font size="2">What characteristics do you desire in a greyhound (sex, age, size, etc.)?</font></td> <td width="419" height="94"> <textarea name="15. Desired characteristics in a greyhound" cols="60" rows="4"></textarea> </td> </tr> <tr> <td width="152" height="37"><font size="2">How did you learn about GCNM?</font></td> <td width="419" height="37"> <input type="text" name="16. How did you learn about GCNM" size="60" value=""> </td> </tr> </table> <p><font face="Times New Roman, Times, serif" size="+1" color="#006633"><b><font color="#6633CC">THE NEXT SECTION IS DESIGNED TO AID US IN DETERMINING WHETHER THE PROPER ENVIRONMENTAL CONDITIONS ARE AVAILABLE FOR NECESSARY CARE FOR THE GREYHOUND. <input type="hidden" value="THE NEXT SECTION IS DESIGNED TO AID US IN DETERMINING WHETHER THE PROPER ENVIRONMENTAL CONDITIONS ARE AVAILABLE FOR NECESSARY CARE FOR THE GREYHOUND." name="B."> </font></b></font></p> <p><font size="2">Where do you live:<br> <input type="checkbox" name="17. I live in a house" value="checkbox"> House <input type="checkbox" name="17. I live in a Mobile Home" value="checkbox"> Mobile Home <input type="checkbox" name="17. I live in an apartment" value="checkbox"> Apartment <input type="checkbox" name="17. I live in a Condominium" value="checkbox"> Condominium <input type="checkbox" name="17. I live in Other" value="checkbox"> Other (explain) <input type="text" name="Explaination of where I live" size="20" maxlength="40"> </font></p> <p><font size="2">Do you: <input type="checkbox" name="18. I own" value="checkbox"> Own &nbsp; <input type="checkbox" name="18. I rent" value="checkbox"> Rent &nbsp;&nbsp;&nbsp;How many years at present address? <input type="text" name=" 18. Years at present address" size="20" maxlength="40"> </font></p> <p><font size="2">If you rent or lease, you must have written permission from your landlord. Please provide landlord's name, address, and phone:</font></p> <table width="446" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="64"> <div align="right"><font size="2">Name: </font></div> </td> <td width="140"> <font size="2"> <input type="text" name="Landlords name" size="20" maxlength="40"> </font></td> <td width="210">&nbsp;</td> <td width="51">&nbsp;</td> </tr> <tr> <td width="64"> <div align="right"><font size="2">Address:</font></div> </td> <td width="140"> <font size="2"> <input type="text" name="Landlord's address" size="20" maxlength="40"> </font></td> <td width="210">&nbsp;</td> <td width="51">&nbsp;</td> </tr> <tr> <td width="64"> <div align="right"><font size="2">City:</font></div> </td> <td width="140"> <font size="2"> <input type="text" name="Landlord's City" size="20" maxlength="40"> </font></td> <td colspan="2"> <font size="2">&nbsp;State: <input type="text" name="Landlord's state" size="4" maxlength="4"> &nbsp;Zip: <input type="text" name="Landlord's zip" size="20" maxlength="40"> </font></td> </tr> <tr> <td width="64"> <div align="right"><font size="2">Phone:</font></div> </td> <td width="140"> <font size="2"> <input type="text" name="Landlord's phone" size="20" maxlength="40"> </font></td> <td width="210">&nbsp;</td> <td width="51">&nbsp;</td> </tr> </table> <p>&nbsp;</p> <table width="565" border="1" cellspacing="0" cellpadding="3"> <tr> <td width="459"><font size="2">Is your yard fenced?</font></td> <td width="116"> <font size="2"> <input type="checkbox" name="19. Is your yard fenced? Yes" value="checkbox"> Yes &nbsp; <input type="checkbox" name="19. Is your yard fenced? No" value="checkbox"> No</font></td> </tr> <tr> <td colspan="2"> <p><font size="2">If yes, Note the approx. size of fenced area: <input type="text" name="20. size of fenced area" size="4" maxlength="15"> &nbsp;height: <input type="text" name="20. height of fence" size="4" maxlength="6"> and type of fencing material: <input type="text" name="20. type of fencing material" size="15" maxlength="10"> </font></p> </td> </tr> <tr> <td width="459"> <p><font size="2">If your yard is not fenced, would you be willing to fence all or part of it as a condition of adoption?</font></p> </td> <td width="116"> <font size="2"> <input type="checkbox" name="21. Are you willing to fence yard? Yes" value="checkbox"> Yes &nbsp; <input type="checkbox" name="21. Are you willing to fence yard? No" value="checkbox"> No</font></td> </tr> <tr> <td width="459"> <p><font size="2">Are you willing to keep your greyhound on a leash or in a fenced area when outdoors? (Dangers such as barbed wire fences, traffic, etc. are a particular threat to greyhounds since they can become so fixated on a distant moving object they may want to chase.)</font></p> </td> <td width="116"> <font size="2"> <input type="checkbox" name="22.Are you willing to keep your greyhound on a leash or in a fenced area when outdoors? Yes" value="checkbox"> Yes &nbsp; <input type="checkbox" name="22. Are you willing to keep your greyhound on a leash or in a fenced area when outdoors? No" value="checkbox"> No</font></td> </tr> <tr> <td width="459"> <p><font size="2">Are you willing and able to modify your daily schedule to accommodate a greyhound's needs, such as going outdoors into a fenced area or walking on a leash to perform bodily functions at least four times a day?</font></p> </td> <td width="116"> <font size="2"> <input type="checkbox" name="23. Are you willing to modify your daily schedule to accommodate a greyhound's needs? Yes" value="checkbox"> Yes &nbsp; <input type="checkbox" name="23. Are you willing to modify your daily schedule to accommodate a greyhound's needs? No" value="checkbox"> No</font></td> </tr> <tr> <td width="459"><font size="2">How many hours would the dog be alone each day?</font></td> <td width="116"> <font size="2"> <input type="text" name="24. How many hours would the dog be alone each day?" size="4" maxlength="6"> </font></td> </tr> <tr> <td width="459"><font size="2">Do you own or have access to an airline kennel, dog cage or crate?</font></td> <td width="116"> <font size="2"> <input type="checkbox" name="25. Do you own or have access to an airline kennel or dog crate? Yes" value="checkbox"> Yes &nbsp; <input type="checkbox" name="25. Do you own or have access to an airline kennel or dog crate? No" value="checkbox"> No</font></td> </tr> <tr> <td width="459"><font size="2">Are you willing to kennel/crate the dog when it is alone? (This is occasionally necessary during the adaptation period or for especially insecure greyhounds)</font></td> <td width="116"> <font size="2"> <input type="checkbox" name="26. Are you willing to kennel/crate the dog when it is alone? Yes" value="checkbox"> Yes &nbsp; <input type="checkbox" name="26. Are you willing to kennel/crate the dog when it is alone? No" value="checkbox"> No</font></td> </tr> <tr> <td width="459"><font size="2">Greyhounds must live indoors. They cannot adequately be kept in an outdoor kennel or doghouse. Do you agree to keep your pet inside your home unless for play, exercise and relieving itself?</font></td> <td width="116"> <font size="2"> <input type="checkbox" name="27. Do you agree to keep your pet inside your home unless for play, exercise and relieving itself? Yes" value="checkbox"> Yes &nbsp; <input type="checkbox" name="27. Do you agree to keep your pet inside your home unless for play, exercise and relieving itself? No" value="checkbox"> No</font></td> </tr> <tr> <td width="459"><font size="2">Are you willing to keep a collar with identification tags on your greyhound at all times?</font></td> <td width="116"> <font size="2"> <input type="checkbox" name="28. Are you willing to keep a collar with identification tags on your greyhound at all times? Yes" value="checkbox"> Yes &nbsp; <input type="checkbox" name="28. Are you willing to keep a collar with identification tags on your greyhound at all times? No" value="checkbox"> No</font></td> </tr> <tr> <td width="459"><font size="2">Are you willing and able to accept full and immediate responsibility for the ownership of a greyhound, including all health-care costs and necessary burdens and responsibilities of owning a pet?</font></td> <td width="116"> <font size="2"> <input type="checkbox" name="29. Are you willing and able to accept full and immediate responsibility for the ownership of a greyhound, including all health care costs and necessary burdens and responsibilities of owning a pet? Yes" value="checkbox"> Yes &nbsp; <input type="checkbox" name="29. Are you willing and able to accept full and immediate responsibility for the ownership of a greyhound, including all health care costs and necessary burdens and responsibilities of owning a pet? No" value="checkbox"> No</font></td> </tr> <tr> <td width="459"><font size="2">Are you willing to spend time playing with or exercising your greyhound?</font></td> <td width="116"> <font size="2"> <input type="checkbox" name="30. Are you willing to spend time playing with or exercising our greyhound? Yes" value="checkbox"> Yes &nbsp; <input type="checkbox" name="30. Are you willing to spend time playing with or exercising our greyhound? No" value="checkbox"> No</font></td> </tr> <tr> <td width="459" height="38"><font size="2">If, for any reason, you are unable to keep our greyhound, will you agree to return it to GCNM?</font></td> <td width="116" height="38"> <font size="2"> <input type="checkbox" name="31. If, for any reason, you are unable to keep our greyhound, will you agree to return it to GCNM? Yes" value="checkbox"> Yes &nbsp; <input type="checkbox" name="31. If, for any reason, you are unable to keep our greyhound, will you agree to return it to GCNM? No" value="checkbox"> No</font></td> </tr> <tr> <td colspan="2"> <p><font size="2">How would you describe your household activity level?<br> <input type="checkbox" name="32. Very Quiet - Activitiy Level in house" value="checkbox"> Very Quiet &nbsp; <input type="checkbox" name="32. Lots of Activity - Activity Level in house" value="checkbox"> Lots of activity &nbsp; <input type="checkbox" name="32. Moderate Activity Level - Activity Level in house" value="checkbox"> Moderate Activity&nbsp; <input type="checkbox" name="32. Fairly Easygoing - Activity level in house" value="checkbox"> Fairly Easygoing</font></p> </td> </tr> <tr> <td width="459"><font size="2">Would you object to an inspection of your home and premises by a GCNM representative?</font></td> <td width="116"> <font size="2"> <input type="checkbox" name="33. Would you object to an inspection of your home and premises by a GCNM representative? Yes" value="checkbox"> Yes &nbsp; <input type="checkbox" name="33. Would you object to an inspection of your home and premises by a GCNM representative? No" value="checkbox"> No</font></td> </tr> <tr> <td width="459" height="40"><font size="2">Occasionally, a greyhound with special needs (moderate to excessive shyness, minimal physical restrictions due to old racing injury, older than usual retirement age, etc.) is available for adoption. Would you be interested in being considered for such a dog? </font></td> <td width="116" height="40"> <font size="2"> <input type="checkbox" name="34. Would you be interested in being considered for a special needs dog? Yes" value="checkbox"> Yes &nbsp; <input type="checkbox" name="34. Would you be interested in being considered for a special needs dog? No" value="checkbox"> No</font></td> </tr> <tr> <td width="459"><font size="2">Do you currently have a veterinarian?</font></td> <td width="116"> <font size="2"> <input type="checkbox" name="35. Do you currently have a veterinarian: Yes" value="checkbox"> Yes &nbsp; <input type="checkbox" name="35. Do you currently have a veterinarian: No" value="checkbox"> No</font></td> </tr> <tr> <td colspan="2"><font size="2">If yes, <br> </font> <table width="542" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="61"> <div align="right"><font size="2">Name: </font></div> </td> <td colspan="3"> <font size="2"> <input type="text" name="veterinarian's name" size="30" maxlength="40"> </font></td> </tr> <tr> <td width="61"> <div align="right"><font size="2">Address:</font></div> </td> <td colspan="3"> <font size="2"> <input type="text" name="veterinarian's address" size="30" maxlength="40"> </font></td> </tr> <tr> <td width="61"> <div align="right"><font size="2">City:</font></div> </td> <td width="194"> <font size="2"> <input type="text" name="veterinarian's City" size="30" maxlength="40"> </font></td> <td colspan="2" width="287"> <font size="2">&nbsp;State: <input type="text" name="veterinarian's state" size="4" maxlength="4"> &nbsp;Zip: <input type="text" name="veterinarian's zip" size="20" maxlength="40"> </font></td> </tr> <tr> <td width="61"> <div align="right"><font size="2">Phone:</font></div> </td> <td colspan="3"> <font size="2"> <input type="text" name="veterinarian's phone" size="30" maxlength="40"> </font></td> </tr> </table> </td> </tr> </table> <p><font size="+1" color="#6633CC"><b>THE FOLLOWING SECTION IS DESIGNED TO GIVE US SOME IDEA OF YOUR PAST AND PRESENT EXPERIENCE IN KEEPING AND CARING FOR DOGS. <input type="hidden" value="THE FOLLOWING SECTION IS DESIGNED TO GIVE US SOME IDEA OF YOUR PAST AND PRESENT EXPERIENCE IN KEEPING AND CARING FOR DOGS." name="C."> </b></font></p> <table width="575" border="1" cellspacing="0" cellpadding="0"> <tr> <td width="444"><font size="2">Have you previously owned a dog?</font></td> <td width="131"> <font size="2"> <input type="checkbox" name="36. Have you previously owned a dog? Yes" value="checkbox"> Yes &nbsp; <input type="checkbox" name="36. Have you previously owned a dog? No" value="checkbox"> No</font></td> </tr> <tr> <td colspan="2"><font size="2">If yes, what breed(s)? <input type="text" name="37. If yes, what breed(s)?" size="20" maxlength="40"> </font></td> </tr> <tr> <td colspan="2"><font size="2">How was the dog(s) obtained? (i.e., breeder, rescue from pound/humane society, pet store) <input type="text" name="38. How was the dog(s) obtained? (i.e., breeder, rescue from pound/humane society, pet store)" size="20" maxlength="40"> </font></td> </tr> <tr> <td colspan="2"><font size="2">What were the ages when dog(s) obtained? <input type="text" name="39. What were the ages when dog(s) obtained? " size="55" maxlength="70"> </font></td> </tr> <tr> <td colspan="2"><font size="2">What became of the dog(s) <input type="text" name="40. What became of the dog(s)" size="55" maxlength="70"> </font></td> </tr> <tr> <td width="444"><font size="2">Have you ever bred or raised dogs?</font></td> <td width="131"> <font size="2"> <input type="checkbox" name="41. Have you ever bred or raised dogs? Yes" value="checkbox"> Yes &nbsp; <input type="checkbox" name="41. Have you ever bred or raised dogs? No" value="checkbox"> No</font></td> </tr> <tr> <td width="444"><font size="2">Have you ever trained a dog?</font></td> <td width="131"> <font size="2"> <input type="checkbox" name="42. Have you ever trained a dog? Yes" value="checkbox"> Yes &nbsp; <input type="checkbox" name="42. Have you ever trained a dog? No" value="checkbox"> No</font></td> </tr> <tr> <td colspan="2"><font size="2">If yes, what method and what commands? <input type="text" name="43. If yes, what method and what commands?" size="55" maxlength="70"> </font></td> </tr> <tr> <td width="444"><font size="2">Do you know all the laws and covenants in your area regarding dogs?</font></td> <td width="131"> <font size="2"> <input type="checkbox" name="44. Do you know all the laws and covenants in your area regarding dogs? Yes" value="checkbox"> Yes &nbsp; <input type="checkbox" name="44. Do you know all the laws and covenants in your area regarding dogs? No" value="checkbox"> No</font></td> </tr> <tr> <td colspan="2"><font size="2">Please add any additional information or thoughts that you feel would help us understand you and your home as a potential greyhound home. <br> <textarea name="45. Please add any additional information or thoughts that you feel would help us understand you and your home as a potential grehound home." cols="70" rows="5"></textarea> </font></td> </tr> </table> <p> <input type="hidden" value="I understand that in order to complete processing this application, a visit to my home will be scheduled by a representative of GCNM, and that by submitting this application, I agree to such a scheduled visit. " name="1. "> <br> <input type="hidden" value="I also certify that all information on this greyhound adoption application is true and correct." name="2. "> <br> <input type="hidden" value="I have read all articles contained within the Greyhound Behavior section of the GCNM web site and agree to follow their recommendations and rules for adopting and providing care for the greyhound(s)." name="3. "> <br> </p> <p><font size="2">I understand that in order to complete processing this application, a visit to my home will be scheduled by a representative of GCNM, and that by submitting this application, I agree to such a scheduled visit. I also certify that all information on this greyhound adoption application is true and correct.</font></p> <p><font size="2">I have read all articles contained within the <a href="behavior.html">Greyhound Behavior</a> section of the GCNM web site and agree to follow their recommendations and rules for adopting and providing care for the greyhound(s).</font></p> <p><font size="2">Authorization of this application is accepted by filling out your full name(s) below. </font></p> <p> <font size="2"> <input type="text" name="Applicant (must be over age 18)" size="55" maxlength="70"> Applicant (must be over age 18)</font></p> <p> <font size="2"> <input type="text" name="Co-Applicant (must be over age 18)" size="55" maxlength="70"> Co-Applicant (must be over age 18)</font></p> <p><font size="2">(Where it applies, we require a spouse's or roommate's authorization on this application as certification that the adoption of a greyhound has been approved and accepted by both parties.)</font></p> <p align="center"> <input type="submit" name="Submit" value="Submit"> &nbsp;&nbsp; <input type="reset" name="reset" value="Reset"> </p> <p>&nbsp;</p> </form> <p>&nbsp;</p> <hr width="400" size="3" align="center"> <p align="center"><font size="-1"> </font><font size="-1"><a href="index.html">Home</a> - <a href="about.html">About GCNM</a> - <a href="adopt.html">Adopting a Greyhound</a> - <a href="public.html">Public Awareness<br> </a></font><font size="-1"><a href="news.html">GCNM News</a> - <a href="behavior.html">Greyhound Behavior &amp; Health</a> - <a href="store.html">Store</a> - <a href="fever.html">Fever's Story</a> - <a href="contact.html">Contact Us</a></font></p> <p align="center"><font face="Arial, Helvetica, sans-serif"><img src="images/smgcnm.gif" width="102" height="31" alt="GCNM"><br> </font><font size="-1">PO</font><font size="-1"> Box 22053<br> Albuquerque, NM 87154-2053<br> 505-899-3245<br> E-mail <a href="mailto:info@gcnm.org">info@gcnm.org</a><br> <font size="1">©2001 GCNM. All Rights Reserved.</font></font></p> <p align="center">&nbsp;</p> <p align="center">&nbsp;</p> </td> </tr> <tr> <td>&nbsp;</td> </tr> </table> </body> </html>